Advanced minimally invasive retromuscular alloplasty in patients with diastasis recti abdominis
DOI:
https://doi.org/10.15574/PS.2024.83.44Keywords:
diastasis recti abdominis, autoplasty, allohernioplasty, recurrence, polyurethane glueAbstract
Diastasis recti abdominis contributes to the occurrence of defects with the formation of hernias of the white line. The recurrence of diastasis after alloplasty may also be associated with the presence of thinned posterior aponeurotic walls of the rectus abdominis muscles.
Aim - to іncrease the effectiveness of surgical treatment of diastasis recti abdominis by using minimally invasive retromuscular techniques.
Materials and methods. An analysis of surgical treatment of patients with diastasis recti abdominis was conducted in 126 patients. Average age - 51±1.2 years old. Diastasis width from 3 to 10 cm. In the I (main) group (n=64) surgical treatment it was performed according to the mini-invasive method we improved retromuscular technique. In the II group (comparison) (n=62) surgical treatment was performed according to the traditional «onlay» technique. In the postoperative period in patients of the I and II groups evaluated term stay of a patient in a hospital, direct and remote results. The methods of variational statistics were used: the averages for each studied feature, the errors of the arithmetic mean.
Results. Term stay in a hospital patients of the I group was 2.1 days, the II group - 6.2 days. Among complications and on the side of the surgical wound in patients of the I group, a hematoma was observed in 2 (3.1%), seroma - in 4 (6.2%), wound infection was not observed, while in patients of the II group a hematoma was observed in 6 (9.7%), seroma - in 10 (16.1%), wound infection - in 3 (4.8%). Distant the results in terms of 2 to 36 months showed that among 35 patients of the II group, chronic postoperative pain was relapses were diagnosed in 2 (3.1%). diastasis direct muscles occurred in 7 (11.3%), and among 34 patients of the I group chronic postoperative pain diagnosed in 6 (9.7%) and relapse only in 1 (1.5%).
Conclusions. Advanced mini-invasive retromuscular alloplasty is more effective, which is confirmed by a decrease in hospital stay and a decrease in postoperative complications.
The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of the specified institution. Informed consent of the patients was obtained for the research.
The authors declare no conflict of interest.
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